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General NPI Number Information
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NPI Number | 1497067755
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Entity Type | Organization
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Legal Business Name | DR. JOHN L SCHAEFFER, INC
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Dates
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Enumeration Date | 07/02/2010
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Last Update Date | 07/02/2010
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Provider Practice Location Address
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Address Line | 3308 EL CAMINO AVE SUITE 300-136
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City | SACRAMENTO
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State | CA
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Zip | 95821-6327
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Country | US
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Telephone | 800-377-8163
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Fax | 888-370-2829
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Provider Business Mailing Address
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Address Line | 3308 EL CAMINO AVE SUITE 300-136
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City | SACRAMENTO
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State | CA
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Zip | 95821-6327
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Country | US
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Telephone | 800-377-8163
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN L SCHAEFFER
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Credential | D.O.
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Telephone | 800-377-8163
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 20A9536
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | A-1243-03
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | DR38750
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A-1243-03
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License Number State | NM
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | DR38750
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License Number State | CO
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Taxonomy #6
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 20A9536
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License Number State | CA
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